What is pain during ovulation?

Pain During Ovulation

What happens when you have mittelschmerz (pain during ovulation)?

When you ovulate, a mature egg is released from one of your ovaries. Two things happen naturally at this time that may cause the pain:

  • The small sac (follicle) on the ovary where the egg matures grows rapidly and stretches the surface of your ovary.
  • When the follicle squeezes the egg out, the blood or fluid in the follicle may irritate the tissues around it.

What are the symptoms of mittelschmerz (pain during ovulation)?

  • The pain is usually mild, like a sharp cramp on one side of your belly. It may shift from side to side from one menstrual cycle to the next. Or it may stay on the same side for more than one cycle.
  • The pain lasts from a few minutes to a few hours. It may last up to 24 to 48 hours.

How is mittelschmerz (pain during ovulation) treated?

  • Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve) if needed. Read and follow all instructions on the label. Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful.
  • If you are trying to get pregnant, talk with your doctor about which pain medicine is safest in early pregnancy.

Mittelschmerz (pain during ovulation): Fast facts

Mittelschmerz (pain during ovulation): When to call

Call your doctor now or seek immediate medical care if:

  • You have severe vaginal bleeding.
  • You have new or worse belly or pelvic pain.

Watch closely for changes in your health, and be sure to contact your doctor if:

  • You have unusual vaginal bleeding.
  • You do not get better as expected.

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The content above contains general health information provided by Healthwise, Incorporated, and reviewed by its medical experts. This content should not replace the advice of your healthcare provider. Not all treatments or services described are offered as services by us. For recommended treatments, please consult your healthcare provider.